NPIMap

Organization Active NPI

Rainer G. Bansuan MD Inc

  • Clinic/Center
  • El Monte, CA
National Provider Identifier
1639457153
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A51021 Issued in CA
Legal business name
RAINER G. BANSUAN MD INC
Practice address
10305 Garvey Ave
El Monte, CA 91733-2135
Phone
(626) 455-0982
Fax
(626) 455-0984
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rainer G Bansuan, M.D.NPI 1336258037
Title
Medical Director
Phone
(626) 455-0982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A51021 CA Primary
Ambulatory Family Planning Facility 261QA0005X A51021 CA

Addresses

Primary practice location

10305 Garvey Ave
El Monte, CA 91733-2135

Mailing address

10305 Garvey Ave
El Monte, CA 91733-2135
Phone (626) 455-0982

Other identifiers 1

IdentifierTypeStateIssuer
A51021MedicaidCA

Other names 1

  • BANSUAN MEDICAL CLINIC Other name

National Provider Directory

National Provider Directory

Locations

10305 Garvey Ave
El Monte, CA 91733
Phone (626) 455-0982

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1639457153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332135",
            "telephone_number": "626-455-0982",
            "fax_number": "626-455-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332135",
            "telephone_number": "626-455-0982",
            "fax_number": "626-455-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINER G. BANSUAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "BANSUAN",
        "authorized_official_first_name": "RAINER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-455-0982",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A51021",
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "A51021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A51021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BANSUAN MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.